Diagnostic Peritoneal Lavage (DPL) Unplugged

Abstract

The original technique for performing a diagnostic peritoneal lavage (DPL) was first described by Root et al. back in 1965. For many years, it was the diagnostic test of choice to detect the presence of blood in the abdominal cavity. With the advent of the computerized tomography (CT) scanner and later the focused assessment with sonography for trauma (FAST) exam, it now enjoys a more limited use. However, as described in the new ninth edition of the advanced trauma life support (ATLS) manual, DPL can still be performed rapidly, is 98{\thinspace}% sensitive, is able to detect bowel injury, and remains an optional skills station during the ATLS course.